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Uterine Rupture as a Rare Complication in Pregnancies After Laparoscopic Myomectomy
Received: 29 Nov 2022 | Accepted: 09 Feb 2023 | Available online: 13 Feb 2023
JCOG. 2023;33(1):56-8
DOI: 10.5336/jcog.2022-94581
Article Language: EN
Article Language: EN
Copyright Ⓒ 2020 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Uterine leiomyomas can be treated with myomectomy. But there is a concern of uterine rupture in patients treated with myomectomy. The risk of rupture is higher in laparoscopic myomectomy than in laparotomic myomectomy. It may be related to the difference in surgical methods. Uterine rupture can be caused by previous surgical scars during labour or uterine enlargement with the progression of pregnancy. Here, we present two cases of uterine rupture occured in laparoscopic myomectomy scar in the second trimester. It should be kept in mind that rupture may develop after myomectomy and be considered in patients with abdominal pain and bleeding during pregnancy. Maternal and fetal morbidity and mortality may increase with delayed diagnosis and treatment.
Uterine leiomyomas can be treated with myomectomy. But there is a concern of uterine rupture in patients treated with myomectomy. The risk of rupture is higher in laparoscopic myomectomy than in laparotomic myomectomy. It may be related to the difference in surgical methods. Uterine rupture can be caused by previous surgical scars during labour or uterine enlargement with the progression of pregnancy. Here, we present two cases of uterine rupture occured in laparoscopic myomectomy scar in the second trimester. It should be kept in mind that rupture may develop after myomectomy and be considered in patients with abdominal pain and bleeding during pregnancy. Maternal and fetal morbidity and mortality may increase with delayed diagnosis and treatment.
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